Objective To explore the role of clinical diagnostic thinking centered on symptomatology in teaching out-patient department.Methods Twenty-eight residents and trainees who were prospectively included in the outpatient rota-tion of general medicine department in our hospital were divided into two groups according to their academic qualifica-tions,work experience,rotation years and annual theoretical assessment results.The experimental group received symptom-atic clinical thinking training,the routine group received daily outpatient teaching training,and the patients in the teach-ing clinic were clustered and diverted according to the symptomatic characteristics.The two groups participated in the whole process as the attending doctor,with the guidance of the teaching teacher.The evaluation of teaching effect is shown by the results of symptomatic systematic examination and thinking training questionnaire.Results The theoretical scores and total scores of the students in the experimental group were higher than those in the routine group,and the dif-ferences were statistically significant(t=2.73,2.91,P＜0.05).There was no significant difference in skill scores between the two groups(t=1.90,P＞0.05).The students'satisfactions with the training mode and the improvement of thinking in the experimental group were higher than those in the routine group,and the differences were statistically significant(t=4.60,4.86,P＜0.05).From the overall score,the students in the experimental group were more satisfied with the training of symptomatic thinking based on teaching outpatient service than that in the routine group,and the difference was statis-tically significant(t=5.73,P＜0.05).Conclusion Doing a good job of symptomatic education is helpful to improve the outpatient service level of general practitioners,en-hance their post competence,establish their confi-dence in practice and accelerate the development of clinical thinking.
关键词
症状学/全科诊断思维/门诊教学/接诊能力
Key words
symptomatology/diagnostic think-ing in general practice/outpatient teaching/re-ception ability
维普
万方数据